| NPI | 1811204837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P77663) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-08-31 |